RYAN FUNK (NPI# 1962034017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962034017 |
| Entity Type | Individual |
| Full Name | RYAN FUNK |
| Practice Address |
2500 W 31st St Ste G Lawrence KS 66047-3051 |
| Practice Telephone | 9137475087 |
| Mailing Telephone | 9137475087 |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | KS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 201258150A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583170 | Ryan A. Funk | Counselor | 11303 W Washington Blvd # 200, Los Angeles, CA 90066-6003 | 2018-06-28 |
| 1720460363 | Ryan Timothy Funk | Otolaryngology | 301 N 8th St, Suite 5b, Springfield, IL 62701-1041 | 2015-06-19 |
| 1871856641 | Ryan Kevin Funk | Internal Medicine | 1580 Beam Ave, Maplewood, MN 55109 | 2012-06-18 |
| Street Address |
2500 W 31ST ST STE G |
| City | LAWRENCE |
| State | KS |
| Zip Code | 66047-3051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639693591 | Jamee Horton | Counselor | 2500 W 31st St Ste G, Lawrence, KS 66047-3051 | 2017-08-01 |
| 1740842277 | Integrated Clinical Services, LLC | Social Worker | 2500 W 31st St Ste G, Lawrence, KS 66047-3051 | 2019-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497239818 | Jd Sigler Publishing Company | Public Health or Welfare | 4951 West 18th Street, Lawrence, KS 66047 | 2018-09-21 |
| 1275063786 | Kathryn Elizabeth Hallacy | Physical Therapist | 3500 Clinton Place, Therapy Services, Lawrence, KS 66047 | 2017-06-16 |
| 1912302647 | Danielle Wilson | Counselor | 3205 Clinton Pkwy, Lawrence, KS 66047 | 2014-10-23 |
| 1063751592 | Meaghan Palmer | Respite Care | 4101 West 24th Place, #710, Lawrence, KS 66047 | 2013-02-04 |
| 1609098151 | Teakwood Psychological Resources, P.a. | Specialist | 2201 W 25th Street, Suite 0, Lawrence, KS 66047 | 2007-05-03 |
| 1205994910 | Farhang R. Khosh | Acupuncturist | 4935 Research Parkway, Lawrence, KS 66047 | 2006-12-05 |
| 1447347703 | Keith Allen White | Chiropractor | 2120 West 25th, Suite A, Lawrence, KS 66047 | 2006-10-06 |
| 1043310089 | Cynthia Louise Schnacke | Psychologist | Teakwood Psychological Resources, 2201 W. 25th Street, Suite O, Lawrence, KS 66047 | 2006-09-22 |
| 1134225329 | Mark Howarter | Chiropractor | 3320 Clinton Parkway Ct Ste 100, Lawrence, KS 66047 | 2006-09-15 |
| 1396708855 | Carla B Phipps | Family Medicine | 4951 W 18th St, Lawrence, KS 66047 | 2006-04-07 |
| Find all providers in zip 66047 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915159 | Precious Ebony Davis | Peer Specialist | 1119 Richmond Ave, Kansas City, KS 66104-5945 | 2020-09-04 |
| 1952852147 | Kyle Spencer | Peer Specialist | 2017 S Chautauqua Ave, Wichita, KS 67211-5615 | 2016-10-22 |
| 1821610643 | Callow Binah Louise Phoenix | Peer Specialist | 4015 Sw 21st St, Topeka, KS 66604-3412 | 2020-05-14 |
| 1417449083 | Gerald Michael Ottenwalder | Peer Specialist | 420 Kennedy St, Burlington, KS 66839-1120 | 2018-05-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.